NPI | 1598089302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25530) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS-207104) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2020-01-06 |