NPI | 1447874672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32033) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32033) |
103TC0700X Psychologist, Clinical (Licence: NY 020463) | |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-04-29 |