NPI | 1700935871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: CA PSY18683) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18683) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2023-11-15 |