NPI | 1386208569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY34866) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-04-24 |
Last Update Date | 2024-02-22 |