NPI | 1033758719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34135) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2019-12-30 |
Last Update Date | 2024-08-23 |