| NPI | 1578046595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33785) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2022-11-08 |