NPI | 1447373717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY14195) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy14195) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2014-05-13 |