NPI | 1508198920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY20915) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY20915) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2020-12-22 |