NPI | 1487102745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 82913) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 82913) |
103TC0700X Psychologist, Clinical (Licence: CA 82913) | |
106H00000X Marriage & Family Therapist (Licence: CA 82913) | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2019-09-17 |