NPI | 1922390533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: CA PSY30566) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-05-15 |
Last Update Date | 2019-11-18 |