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 |