NPI | 1669709929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22404) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 22404) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2018-05-03 |