NPI | 1255594677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23114) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2017-01-30 |