NPI | 1619195286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 13191) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 13191) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 13191) | |
103TF0000X Psychologist, Family (Licence: CA PSY 13191) | |
103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY 13191) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-07-08 |