NPI | 1922421783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31970) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-01-30 |
Last Update Date | 2020-08-11 |