| NPI | 1376662403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26144) |
| Additional Taxonomies | 103T00000X Psychologist |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-08-18 |