NPI | 1376944835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 26005) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY 26005) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |