NPI | 1154907178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33620) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94025788) |
Enumeration Date | 2021-03-21 |
Last Update Date | 2023-01-12 |