NPI | 1457553000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27770) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27770) |
101Y00000X Counselor | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2017-02-06 |