NPI | 1134203417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20105) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY20105) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2022-11-21 |