NPI | 1033246137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21489) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP4542) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2009-10-13 |