NPI | 1992189351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9950) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA W213270) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-24 |