NPI | 1063242402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 34181) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 34181) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 34181) | |
103TC0700X Psychologist, Clinical (Licence: CA 34181) | |
103TH0004X Psychologist, Health (Licence: CA 34181) | |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-01 |