NPI | 1952650038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26841) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
225C00000X Rehabilitation Counselor (Licence: CA 2012308) | |
Enumeration Date | 2012-09-05 |
Last Update Date | 2023-11-09 |