| NPI | 1972899466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27125) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA LCS27125) | |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-06-06 |