NPI | 1689190159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31752) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2017-08-16 |
Last Update Date | 2021-07-05 |