| NPI | 1215141288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44226) |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA MFC 44226) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-10-02 |