| NPI | 1447663745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31881) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-09-09 |