NPI | 1437807674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP3469) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA LEP3469) |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling (Licence: CA 3469) | |
103TS0200X Psychologist, School (Licence: CA 3469) | |
Enumeration Date | 2022-03-16 |
Last Update Date | 2024-08-08 |