NPI | 1043863392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94026925) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-16 |
Last Update Date | 2023-09-01 |