| NPI | 1588952055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30547) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY30547) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY30547) | |
| 101YM0800X Counselor, Mental Health | |
| 103TF0000X Psychologist, Family (Licence: CA PSY30547) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2021-07-01 |