NPI | 1376930297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 17912) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 17912) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA CAS-C-4368) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 17912) | |
103TC1900X Psychologist, Counseling (Licence: CA PSY 17912) | |
103TF0000X Psychologist, Family (Licence: CA PSY 17912) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY 17912) | |
103TH0004X Psychologist, Health (Licence: CA PSY 17912) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 17912) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-17 |