NPI | 1326566019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSB94025941) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 70738) |
Enumeration Date | 2017-09-02 |
Last Update Date | 2021-12-01 |