NPI | 1013056126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21559) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-09-18 |