| NPI | 1265620710 | 
|---|---|
| Former Name | ANDRIA SUE CHATFIELD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27372) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 103G00000X Clinical Neuropsychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-10-10 | 
| Last Update Date | 2022-07-21 |