NPI | 1790950004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY21101) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY21101) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |