NPI | 1306118963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31680) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR 2622712) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-01-29 |
Last Update Date | 2023-06-28 |