NPI | 1053644005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26448) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-09-09 |
Last Update Date | 2014-07-24 |