NPI | 1841415122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17239) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17239) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2021-11-29 |