NPI | 1194455444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35298) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27308) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2024-10-15 |