| NPI | 1609174077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29921) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-03-02 |