NPI | 1548647522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27104) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY27104) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |