| NPI | 1891204830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34414) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 103T00000X Psychologist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-07-31 |