| NPI | 1588005631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy30618) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 2012807) |
| 225C00000X Rehabilitation Counselor (Licence: CA 2012807) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-01-02 |