NPI | 1386760387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21796) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA RPS 2006 098) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2018-12-26 |