NPI | 1750411997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2201) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19864) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2022-05-10 |