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 |