| NPI | 1629108030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33142) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42174) |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-07-21 |