| NPI | 1699007591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 23321) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 23321) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 23321) | |
| 314000000X Skilled Nursing Facility (Licence: CA 23321) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2016-02-22 |