NPI | 1134294465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY13949) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY13949) |
103TC1900X Psychologist, Counseling (Licence: CA PSY13949) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY13949) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY13949) | |
103T00000X Psychologist (Licence: CA PSY13949) | |
106H00000X Marriage & Family Therapist (Licence: CA PSY13949) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |