NPI | 1578050803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 105659) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105659) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2024-02-14 |