NPI | 1144486424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27830) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2008-08-05 |
Last Update Date | 2020-11-25 |