NPI | 1033252283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32024) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43621) |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2007-02-15 |
Last Update Date | 2023-01-16 |