NPI | 1245805068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 32663) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32663) |
103TC0700X Psychologist, Clinical (Licence: TX 39211) | |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-06-26 |