NPI | 1669025771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY23651) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23651) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23651) | |
103TC1900X Psychologist, Counseling (Licence: CA PSY23651) | |
103TF0000X Psychologist, Family (Licence: CA PSY23651) | |
103TS0200X Psychologist, School (Licence: CA PSY23651) | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |