NPI | 1922396084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26661) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-07-11 |
Last Update Date | 2015-12-01 |