NPI | 1992365068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32246) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32246) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2021-01-06 |