NPI | 1013167022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-09-26 |
Last Update Date | 2017-04-14 |