NPI | 1376566190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy 17628) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 17628) |
103TC0700X Psychologist, Clinical (Licence: CA PSY17628) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-05-18 |