NPI | 1982063020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 30329) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103T00000X Psychologist (Licence: CA 30329) | |
Enumeration Date | 2016-02-17 |
Last Update Date | 2024-08-16 |