NPI | 1275199705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0000X Psychologist, Family |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010208) |
103TF0000X Psychologist, Family (Licence: 95010208) | |
207Q00000X Family Medicine (Licence: CA 95010208) | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |