NPI | 1730120320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA CP11566) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY11566) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2012-10-15 |