NPI | 1093846750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21978) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY21978) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-07-22 |