| NPI | 1982789947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA CA DMH Waiver) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23381) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-09-30 |