NPI | 1447454905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17987) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY17987) |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY17987) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2008-06-02 |