NPI | 1164637062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY15823) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY15823) |
103TH0004X Psychologist, Health (Licence: CA PSY15823) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-05-07 |