NPI | 1265694756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24016) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810000256) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2024-02-09 |