NPI | 1790171205 |
---|---|
Former Name | CA-LIE CHENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32645) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 123456) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2021-07-23 |