| NPI | 1467616151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24925) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2015-11-10 |