NPI | 1588921993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25428) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25428) |
103TF0000X Psychologist, Family (Licence: CA PSY25428) | |
103TH0004X Psychologist, Health (Licence: CA PSY25428) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY25428) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY25428) | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2014-10-22 |