NPI | 1376985473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31615) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31615) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY31615) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY31615) | |
Enumeration Date | 2013-07-18 |
Last Update Date | 2020-02-28 |