NPI | 1508437930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94027657) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94027657) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2023-11-01 |