NPI | 1235370354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20888) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY20888) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20888) | |
Enumeration Date | 2009-03-19 |
Last Update Date | 2014-02-28 |