NPI | 1659329639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19899) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 19899) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 19899) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 19899) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 19899) | |
103TH0100X Psychologist, Health Service (Licence: CA 19899) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 19899) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA 19899) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2010-07-09 |