NPI | 1710496468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35201) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4315) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2024-07-24 |