NPI | 1801671151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34477) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY34477) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2024-04-29 |