NPI | 1649628504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28274) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY28274) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |