NPI | 1073771317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15927) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 15927) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 15927) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY 15927) | |
103TP0814X Psychologist, Psychoanalysis (Licence: CA Psy 15927) | |
103TS0200X Psychologist, School (Licence: CA Psy 15927) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2016-04-22 |