NPI | 1629353578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94020485) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 94020485) |
103TF0200X Psychologist, Forensic (Licence: CA 94020485) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 94020485) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA 94020485) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 94020485) | |
Enumeration Date | 2011-10-11 |
Last Update Date | 2015-01-30 |