NPI | 1598540809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08538) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34199) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2024-03-17 |