NPI | 1346841442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32378) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61086635) |
Enumeration Date | 2020-11-04 |
Last Update Date | 2024-02-02 |