NPI | 1063698850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP3826) |
Additional Taxonomies | 101Y00000X Counselor |
103TS0200X Psychologist, School (Licence: CA 220040341) | |
Enumeration Date | 2008-01-11 |
Last Update Date | 2023-01-10 |