NPI | 1871996843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26554) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008989) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2017-12-18 |