NPI | 1487797445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20470) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY20470) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20470) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY20470) | |
103T00000X Psychologist (Licence: CA PSY20470) | |
Enumeration Date | 2007-02-15 |
Last Update Date | 2013-09-11 |