NPI | 1538524673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27687) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 27687) |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 27687) | |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |