NPI | 1922107416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29351) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3573) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-05-03 |