NPI | 1093036576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29266) |
Additional Taxonomies | 101Y00000X Counselor |
225400000X Rehabilitation Practitioner | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2017-07-27 |