NPI | 1447398243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23548) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23548) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2021-01-19 |