NPI | 1497977110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19426) |
Additional Taxonomies | 174400000X Specialist (Licence: CA PSY19426) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2023-10-27 |