NPI | 1700048220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy 23980) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23980) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2023-08-21 |