NPI | 1851793483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy34391) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11449-PY-PR) |
103TC0700X Psychologist, Clinical (Licence: MA 11449-PY-PR) | |
Enumeration Date | 2014-09-26 |
Last Update Date | 2024-06-25 |