NPI | 1972767259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA AMFT137577) |
Additional Taxonomies | 103T00000X Psychologist |
101YM0800X Counselor, Mental Health | |
225C00000X Rehabilitation Counselor (Licence: CA PSB94024415) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94024415) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2023-06-12 |