NPI | 1427218627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26741) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9557) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2017-02-02 |