NPI | 1013072081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20264) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY20264) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2024-04-19 |