| NPI | 1538585120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27305) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY27305) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2016-05-25 |