NPI | 1285799924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20445) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6852) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2025-09-16 |