NPI | 1710234273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY26313) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY26313) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2021-12-27 |