NPI | 1568502367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18656) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA Psy18656) | |
103TH0004X Psychologist, Health | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2024-05-05 |