NPI | 1144717828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY33086) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 33086) |
225C00000X Rehabilitation Counselor | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-18 |
Last Update Date | 2021-12-23 |