NPI | 1215194014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30020) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2008-05-20 |
Last Update Date | 2020-10-21 |