NPI | 1033254420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY21886) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-02-21 |
Last Update Date | 2012-12-11 |