| NPI | 1346773322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 32169) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 32169) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2026-01-05 |