NPI | 1285698506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28538) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 8856) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-05-01 |