NPI | 1417590886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32820) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
103TF0200X Psychologist, Forensic (Licence: CA 32820) | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2019-10-17 |
Last Update Date | 2021-09-02 |