NPI | 1629731187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32935) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32935) |
Enumeration Date | 2021-10-20 |
Last Update Date | 2024-04-29 |