NPI | 1013108547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27054) |
Additional Taxonomies | 103T00000X Psychologist |
103TF0200X Psychologist Forensic | |
103TH0004X Psychologist Health | |
103TP2701X Psychologist Group Psychotherapy | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2022-06-09 |