NPI | 1841691284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29393) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2012393) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2024-07-17 |