NPI | 1780834903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 38453) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY16789) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2022-05-05 |