NPI | 1194045971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY-29517) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY-29517) |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY-29517) | |
103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY-29517) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2018-01-18 |