NPI | 1174240766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33790) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33790) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-04-27 |