| NPI | 1952543746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical (Licence: CA 74207) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2023-02-28 |