| NPI | 1932677960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY31705) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-07-27 |