NPI | 1285910802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24482) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24482) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2017-01-31 |