NPI | 1508967142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy19649) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NM 0920) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2022-08-10 |