NPI | 1033631650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94028043) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2017-07-14 |
Last Update Date | 2024-04-26 |