| NPI | 1588894620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94026042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW63288) |
| 225C00000X Rehabilitation Counselor (Licence: CA PSB94026042) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-06-16 |