NPI | 1205380706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY28146) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28146) |
103TC1900X Psychologist, Counseling (Licence: NY 013940) | |
Enumeration Date | 2016-08-12 |
Last Update Date | 2017-01-20 |