| NPI | 1982738449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36597) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2026-03-02 |