NPI | 1649022609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 4505) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 4505) |
103TC1900X Psychologist, Counseling (Licence: CA 4505) | |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |