NPI | 1417958927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8386) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY8386) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2015-05-09 |