NPI | 1699101550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30278) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30278) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY30278) | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2024-07-16 |