NPI | 1740496918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 12043) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 1803) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2012-12-21 |