NPI | 1265438451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14122) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14122) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2021-01-18 |