NPI | 1255804175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32635) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-01-03 |
Last Update Date | 2021-06-13 |