NPI | 1730499682 |
---|---|
Former Name | DAIYA CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26337) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016881) |
Enumeration Date | 2010-10-13 |
Last Update Date | 2014-08-04 |