NPI | 1053712497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32350) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 32350) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2022-05-18 |