NPI | 1699043604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 24507) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
Enumeration Date | 2011-12-05 |
Last Update Date | 2012-01-20 |