NPI | 1518438910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PY30921) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10221) |
Enumeration Date | 2018-12-10 |
Last Update Date | 2019-11-12 |