NPI | 1508953100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28257) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS20763) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2022-02-01 |