NPI | 1417318932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27843) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27843) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY27843) | |
103TC1900X Psychologist, Counseling (Licence: CA PSY27843) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY27843) | |
Enumeration Date | 2016-03-10 |
Last Update Date | 2016-03-10 |