NPI | 1972149706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31089) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-11-27 |
Last Update Date | 2024-10-09 |