NPI | 1669621033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25990) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2008-09-10 |
Last Update Date | 2022-01-12 |