NPI | 1093910184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 23573) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 23573) |
102L00000X Psychoanalyst | |
103T00000X Psychologist (Licence: CA 23573) | |
Enumeration Date | 2007-06-19 |
Last Update Date | 2024-10-18 |