NPI | 1881330090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 33259) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 33259) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 33259) | |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-05-10 |