NPI | 1114368792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA psy20304) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy20304) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2018-01-18 |