NPI | 1063793909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 32704) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA PS894023255) |
103T00000X Psychologist (Licence: CA PSY32704) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY32704) | |
103TC1900X Psychologist, Counseling (Licence: CA PSB94023255) | |
106H00000X Marriage & Family Therapist (Licence: CA 80338) | |
Enumeration Date | 2011-09-06 |
Last Update Date | 2021-08-12 |