NPI | 1932411097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25209) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25209) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2024-09-11 |