NPI | 1932559614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA LMFT 50894) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA LMFT 50894) |
103TH0100X Psychologist, Health Service (Licence: CA LMFT 50894) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |