NPI | 1164798898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24929) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019303) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2015-09-14 |