NPI | 1003942343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17051) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17051) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2024-04-27 |