NPI | 1063701399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24093) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24093) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-04-07 |