NPI | 1659496024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9304) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY9304) |
103T00000X Psychologist (Licence: CA PSY9304) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2014-03-12 |