NPI | 1083498901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA Waivered) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114337) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-10-04 |