| NPI | 1356964035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33011) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-06-14 |