| NPI | 1659621415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 94024164) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-09-20 |