NPI | 1326125014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY23254) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23254) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-06-19 |