NPI | 1508972753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21015) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2006-08-21 |
Last Update Date | 2018-05-04 |