NPI | 1699817551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23964) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Psy2005256) |
103T00000X Psychologist (Licence: CA PSY23964) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2022-08-29 |