NPI | 1861705188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26755) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64885) |
103TC1900X Psychologist, Counseling (Licence: CA 26755) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2022-01-03 |