| NPI | 1689190159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31752) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-07-05 |