NPI | 1487101168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31113) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-09 |
Last Update Date | 2022-06-16 |