| NPI | 1467852368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33193) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 33193) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 33193) | |
| 103TC1900X Psychologist, Counseling | |
| 103TC1900X Psychologist, Counseling (Licence: CA 33193) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-03-03 |