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 |