NPI | 1922245174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14147) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 0005280) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2009-01-09 |