NPI | 1720126907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22990) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPS2006034) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2017-05-01 |