NPI | 1043334733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24752) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD MD2021) |
103TC0700X Psychologist, Clinical (Licence: VA VA1352) | |
103TC0700X Psychologist, Clinical (Licence: FL PY4655) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-06-18 |