NPI | 1467627570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 20440) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CA PSY 20440) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |