| NPI | 1417963273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA 19036) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 19036) |
| 103TC0700X Psychologist Clinical (Licence: CA 19036) | |
| 103TH0100X Psychologist Health Service (Licence: CA 19036) | |
| 103T00000X Psychologist (Licence: CA 19036) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA 19036) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CA 19036) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |