NPI | 1669136537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22106) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019686) |
103T00000X Psychologist (Licence: UT 8109380-2501) | |
103T00000X Psychologist (Licence: DC PSY10000763) | |
103T00000X Psychologist (Licence: DC PSY1000763) | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-11-06 |