NPI | 1639623127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 28460) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 28460) |
103TF0000X Psychologist, Family (Licence: CA PSY 28460) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 28460) | |
Enumeration Date | 2016-08-12 |
Last Update Date | 2024-05-30 |