NPI | 1437689338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34381) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY1151) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2024-11-21 |