NPI | 1295746279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY2694) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY2694) |
103TH0100X Psychologist, Health Service (Licence: CA PSY2694) | |
103T00000X Psychologist (Licence: CA PSY2694) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY2694) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |