NPI | 1730752395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34897) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94025281) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2024-07-03 |