NPI | 1538568134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30541) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 30541) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2022-06-16 |