NPI | 1114094554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25690) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-11-29 |
Last Update Date | 2013-06-14 |