NPI | 1760933386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17059) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 17059) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |