NPI | 1821499062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32134) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101Y00000X Counselor | |
Enumeration Date | 2014-09-08 |
Last Update Date | 2023-11-28 |