| NPI | 1366164543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 34849) |
| Additional Taxonomies | 103T00000X Psychologist |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-02-28 |