NPI | 1861421463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20139) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011986) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |