NPI | 1780709089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY15552) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY15552) |
103TC0700X Psychologist, Clinical (Licence: CA PSY15552) | |
103TF0000X Psychologist, Family (Licence: CA PSY15552) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2021-01-20 |