NPI | 1700142080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY11755) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2019-06-20 |