NPI | 1386152189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33908) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004344) |
Enumeration Date | 2018-01-15 |
Last Update Date | 2024-10-01 |