| NPI | 1306118963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31680) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 2622712) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2023-06-28 |