| NPI | 1770922916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94025992) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-11-16 |