NPI | 1649576851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24409) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSB33686) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2014-05-13 |