NPI | 1407933005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16970) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY16970) |
103TF0200X Psychologist, Forensic (Licence: CA PSY16970) | |
103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY16970) | |
103T00000X Psychologist (Licence: CA PSY6970) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY16970) | |
103T00000X Psychologist (Licence: CA PSY16970) | |
106H00000X Marriage & Family Therapist (Licence: CA MFT17040) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-12-02 |