NPI | 1457669913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27478) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37512) |
Enumeration Date | 2010-09-17 |
Last Update Date | 2020-12-30 |