NPI | 1427102342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 20385) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 20385) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA 20385) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 20385) | |
103TC0700X Psychologist, Clinical (Licence: CA 20385) | |
103TC1900X Psychologist, Counseling (Licence: CA 20385) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 20385) | |
103TF0000X Psychologist, Family (Licence: CA 20385) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 20385) | |
106H00000X Marriage & Family Therapist (Licence: CA 20385) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |