NPI | 1255473211 |
---|---|
Former Name | TERRILL SHARON LEVINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY8407) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY8407) |
103TC0700X Psychologist Clinical (Licence: CA PSY8407) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY8407) | |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY8407) | |
103T00000X Psychologist (Licence: CA PSY8407) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |