NPI | 1215144043 |
---|---|
Former Name | SONIA THIMOTHEOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 20661) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20661) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2022-02-11 |