NPI | 1285133348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31911) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31911) |
103TC0700X Psychologist, Clinical (Licence: CA PSY31911) | |
Enumeration Date | 2018-02-05 |
Last Update Date | 2024-04-29 |