NPI | 1962624841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21494) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2007030) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2016-10-06 |