NPI | 1114166568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22075) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22075) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 011964) | |
103TC0700X Psychologist, Clinical (Licence: NY 011964) | |
103TH0004X Psychologist, Health (Licence: CA PSY22075) | |
103TH0004X Psychologist, Health (Licence: NY 011964) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY22075) | |
Enumeration Date | 2009-02-09 |
Last Update Date | 2013-12-11 |