| NPI | 1609154103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31085) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101Y00000X Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-10-25 |