| NPI | 1205497914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36875) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2026-08-06 |