NPI | 1912281635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30219) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 2012755) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2018-07-24 |