| NPI | 1962875674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35340) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225A00000X Music Therapist (Licence: CA 12038) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2024-09-23 |