NPI | 1114391935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29987) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy29987) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA Psy29987) | |
Enumeration Date | 2015-11-17 |
Last Update Date | 2024-11-16 |