NPI | 1194840660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14465) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14465) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2013-04-01 |