| NPI | 1952562290 |
|---|---|
| Former Name | CHARMAYNE ALEXANDRA BOEVING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY30046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3537) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY30046) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3537) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-04-16 |