NPI | 1306996764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27441) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2016-09-12 |