NPI | 1629108188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY23993) | |
103TH0004X Psychologist, Health (Licence: CA PSY23993) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2011-02-16 |