NPI | 1164548558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY20718) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY20718) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |