NPI | 1871928689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31159) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31159) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2024-07-18 |