NPI | 1508090093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY303054) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30354) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2023-11-28 |