NPI | 1740021591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35083) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11904) |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-06-05 |