NPI | 1851620785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY34967) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05997) |
103T00000X Psychologist (Licence: AZ PSY-004287) | |
Enumeration Date | 2009-12-24 |
Last Update Date | 2024-10-11 |