| NPI | 1972767259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA AMFT137577) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| 225C00000X Rehabilitation Counselor (Licence: CA PSB94024415) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94024415) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-06-12 |