NPI | 1609953314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25586) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019859) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-02-19 |