NPI | 1356719926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30303) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-09-12 |
Last Update Date | 2019-09-24 |