NPI | 1841587946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27573) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2011-07-09 |
Last Update Date | 2017-01-11 |