NPI | 1265975197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy23444) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy23444) |
103TC0700X Psychologist, Clinical (Licence: MO 2022044418) | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
Enumeration Date | 2016-11-26 |
Last Update Date | 2024-12-31 |