NPI | 1700929353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA Psy 7299) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy 7299) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-07-08 |