NPI | 1578670766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17358) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY17358) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY17358) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2015-05-01 |