NPI | 1326355231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY33601) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 089469) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2022-09-15 |