NPI | 1134466238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 26249) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071 008502) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2015-01-12 |