NPI | 1932394459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24727) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY24727) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2015-06-30 |