| NPI | 1407442478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35059) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-09-24 |