NPI | 1952408973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA CaPsy12525) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 12525) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-08-16 |