NPI | 1497345250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33812) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33812) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY33812) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY33812) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY33812) | |
Enumeration Date | 2021-01-25 |
Last Update Date | 2025-07-23 |