NPI | 1427313204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29403) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TF0200X Psychologist, Forensic | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2023-07-07 |