NPI | 1003085143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33978) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26467) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2024-11-08 |