NPI | 1063881415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 2012968) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D4003366) | |
Enumeration Date | 2015-09-16 |
Last Update Date | 2020-02-03 |