NPI | 1679725360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23938) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY23938) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23938) | |
103TH0004X Psychologist, Health (Licence: CA PSY23938) | |
Enumeration Date | 2008-10-14 |
Last Update Date | 2012-09-18 |