NPI | 1184999534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 23501) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 23501) |
103TC0700X Psychologist, Clinical (Licence: CA PSY 23501) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY 23501) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY 23501) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 23501) | |
Enumeration Date | 2012-03-19 |
Last Update Date | 2015-06-03 |