NPI | 1841624830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25343) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY25343) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2024-04-23 |