NPI | 1528143153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 4424) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17721) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-06-22 |