NPI | 1851672950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30086) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-09-01 |
Last Update Date | 2022-05-25 |