NPI | 1336328269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25494) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003762) |
Enumeration Date | 2007-10-28 |
Last Update Date | 2013-05-07 |