NPI | 1518331305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA WAIVERED) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
171M00000X Case Manager/Care Coordinator | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2015-11-17 |
Last Update Date | 2024-04-30 |