NPI | 1609927466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31514) |
Additional Taxonomies | 103T00000X Psychologist (Licence: UT 3539922501) |
103T00000X Psychologist (Licence: UT 353992-2501) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2019-12-27 |