NPI | 1649359571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22946) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA NA) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2019-03-01 |