| NPI | 1578087656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33045) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-03-18 |