NPI | 1548542962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30521) |
Additional Taxonomies | 103T00000X Psychologist |
225400000X Rehabilitation Practitioner | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2011-09-12 |
Last Update Date | 2024-02-23 |