NPI | 1265082069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30742) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY30742) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2022-02-24 |