NPI | 1235269994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33873) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
106H00000X Marriage & Family Therapist (Licence: CA LMFT50329) | |
103T00000X Psychologist (Licence: CA 33873) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2023-11-08 |