| NPI | 1891981205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30949) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CA 30949) |
| 225400000X Rehabilitation Practitioner | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2025-07-17 |