| NPI | 1962015693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 33434) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33434) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-10-22 |