NPI | 1730921149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34070) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS020152P) |
Enumeration Date | 2024-06-07 |
Last Update Date | 2024-06-07 |