NPI | 1700252285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY29452) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY29452) |
103TC2200X Psychologist Clinical Child & Adolescent | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-19 |
Last Update Date | 2019-09-20 |