NPI | 1841968740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17196) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17196) |
Enumeration Date | 2021-09-03 |
Last Update Date | 2021-09-03 |