NPI | 1437446945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy25232) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04849) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2013-02-21 |