NPI | 1770955908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28013) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001230) |
103TC1900X Psychologist, Counseling (Licence: IA 001230) | |
103TE1100X Psychologist, Exercise & Sports (Licence: IA 001230) | |
103TH0100X Psychologist, Health Service (Licence: IA 077200) | |
Enumeration Date | 2015-10-27 |
Last Update Date | 2023-04-19 |