NPI | 1306813936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23556) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY23556) |
103T00000X Psychologist (Licence: CA PSY23556) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23556) | |
Enumeration Date | 2006-03-02 |
Last Update Date | 2016-09-08 |