NPI | 1730496183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28982) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY28982) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2019-04-01 |