NPI | 1588894422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20628) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 20628) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |