NPI | 1932332699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB37867) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB37904) |
103TC0700X Psychologist, Clinical (Licence: CA PSB37826) | |
Enumeration Date | 2009-08-28 |
Last Update Date | 2013-10-03 |