NPI | 1447376181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22508) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 22508) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 22508) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PSY 22508) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2013-07-12 |