NPI | 1942588108 |
---|---|
Former Name | ROBYN R TAKESHITA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27443) |
Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY 1264) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2024-08-08 |