NPI | 1447403597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 13828) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY 13828) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 13828) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 13828) | |
Enumeration Date | 2008-11-01 |
Last Update Date | 2008-11-01 |