NPI | 1154911956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY-32096) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY-5432) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-03-12 |