NPI | 1750861852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31362) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31362) |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2018-08-17 |
Last Update Date | 2024-04-28 |