NPI | 1093935132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY-11024) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY-11024) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY-11024) | |
103TH0004X Psychologist, Health (Licence: CA PSY-11024) | |
Enumeration Date | 2007-04-30 |
Last Update Date | 2023-10-02 |