NPI | 1316080344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 18251) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 18251) |
103TC1900X Psychologist, Counseling (Licence: CA 18251) | |
103G00000X Clinical Neuropsychologist (Licence: CA 18251) | |
103TH0100X Psychologist, Health Service (Licence: CA 18251) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 18251) | |
163W00000X Registered Nurse (Licence: CA 95062109) | |
163WC1500X Registered Nurse, Community Health (Licence: CA 552530) | |
173F00000X Sleep Specialist, PhD (Licence: CA 18251) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006517) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006517) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006517) | |
Enumeration Date | 2007-02-15 |
Last Update Date | 2021-01-20 |