NPI | 1780901280 |
---|---|
Former Name | ROBYN SUZANNE LENSING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY27899) | |
Enumeration Date | 2010-04-23 |
Last Update Date | 2016-11-29 |