| NPI | 1891853461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY35327) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 1041C0700X Social Worker Clinical (Licence: CA LCS 26308) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-10-04 |