NPI | 1346399441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21209) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY 21209) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 21209) | |
103TF0000X Psychologist, Family (Licence: CA PSY 21209) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2009-05-15 |