NPI | 1225239312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 12001) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 12001) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 12001) | |
103TH0004X Psychologist, Health (Licence: CA 12001) | |
103TH0100X Psychologist, Health Service (Licence: CA 12001) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 12001) | |
1041C0700X Social Worker, Clinical (Licence: CA 4278306170) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-04-10 |