| NPI | 1417590886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32820) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TF0200X Psychologist, Forensic (Licence: CA 32820) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-09-02 |