NPI | 1629213897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy20014) |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical (Licence: CA psy20014) | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2008-12-02 |
Last Update Date | 2008-12-02 |