NPI | 1841355211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA py2928) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy18750) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-07-08 |