| NPI | 1932240876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35339) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA PSB94027414) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94027414) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-09-19 |