NPI | 1366677932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27526) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
103T00000X Psychologist (Licence: CA PSY27526) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2024-05-31 |