| NPI | 1407189541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27112) |
| Additional Taxonomies | 103T00000X Psychologist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2022-08-19 |