NPI | 1073869632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27313) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18039) |
103K00000X Behavior Analyst (Licence: 1-13-13509) | |
103TS0200X Psychologist, School (Licence: CA LEP 2834) | |
103TS0200X Psychologist, School (Licence: TX 32196) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC 47132) | |
Enumeration Date | 2012-07-31 |
Last Update Date | 2019-06-21 |