NPI | 1679882880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY23697) |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY23697) |
103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY23697) | |
103TC0700X Psychologist Clinical (Licence: CA PSY23697) | |
103TC1900X Psychologist Counseling (Licence: CA PSY23697) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY23697) | |
103TF0000X Psychologist Family (Licence: CA PSY23697) | |
103TH0004X Psychologist Health (Licence: CA PSY23697) | |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY23697) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2020-02-20 |