| NPI | 1427381821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY35952) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: CA PSY35952) |
| 106H00000X Marriage & Family Therapist (Licence: CA 66550) | |
| 101YM0800X Counselor Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2025-08-12 |