NPI | 1346513173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34348) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2012-02-09 |
Last Update Date | 2023-07-20 |