NPI | 1699834960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CA certificate) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 000241) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |