NPI | 1376662403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26144) |
Additional Taxonomies | 103T00000X Psychologist |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-08-18 |