NPI | 1619127537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17785) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17785) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17785) | |
Enumeration Date | 2008-09-27 |
Last Update Date | 2017-02-06 |