NPI | 1619194347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22964) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY22964) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22964) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY22964) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY22964) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2011-11-10 |