NPI | 1588894620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94026042) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW63288) |
225C00000X Rehabilitation Counselor (Licence: CA PSB94026042) | |
Enumeration Date | 2009-07-23 |
Last Update Date | 2023-06-16 |