NPI | 1902218589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31289) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-05-29 |
Last Update Date | 2021-04-01 |