NPI | 1275733909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22072) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22072) |
103T00000X Psychologist (Licence: NY 016941) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 016941) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22072) | |
103TC0700X Psychologist, Clinical (Licence: NY 016941) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 016941) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22072) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 016941) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY22072) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2024-08-02 |