NPI | 1447681580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.07927) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB 37813) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2020-12-30 |