NPI | 1164755674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 25832) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60197953) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2014-04-01 |