NPI | 1457407454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33899) |
Additional Taxonomies | 101Y00000X Counselor |
221700000X Art Therapist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2022-12-26 |