NPI | 1477612646 |
---|---|
Former Name | JAIMIE SOKHENG PICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy26593) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA lcs22086) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2019-08-08 |