NPI | 1467652180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9172) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY9172) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2010-06-07 |