NPI | 1235112707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3007) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18630) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2022-03-29 |