NPI | 1639585623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32742) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32742) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY32742) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32742) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY32742) | |
Enumeration Date | 2014-07-10 |
Last Update Date | 2024-04-21 |