NPI | 1255472809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17045) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY17045) |
103TC0700X Psychologist, Clinical (Licence: CA PSY17045) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17045) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |