NPI | 1760630172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29782) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-08-28 |
Last Update Date | 2022-07-21 |