NPI | 1497097950 |
---|---|
Other Name | TIEN PHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32425) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-03-22 |
Last Update Date | 2024-12-03 |