NPI | 1629096888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-737) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 16084) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2016-01-03 |