NPI | 1952429342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 21049) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 256531) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2013-08-05 |