NPI | 1669507851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26795) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-02-27 |