NPI | 1740328111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy25416) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy23416) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2022-09-28 |