NPI | 1760494736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13799) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY13799) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2013-07-24 |