NPI | 1871225607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA VN189697) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA VN189697) |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-06-29 |