NPI | 1417910316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY17462) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY17462) |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY17462) | |
103TF0000X Psychologist Family (Licence: CA PSY17462) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2007-07-09 |