NPI | 1205117876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26633) |
Additional Taxonomies | 101Y00000X Counselor |
103TC0700X Psychologist, Clinical (Licence: CA PSY26633) | |
Enumeration Date | 2011-09-08 |
Last Update Date | 2015-10-05 |