NPI | 1093700759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 2286) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY11872) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2007-07-08 |