| NPI | 1346613247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 101766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health (Licence: CA 83020) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 83020) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2021-08-12 |