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, Intellectual & Developmental Disabilities (Licence: CA PSY23697) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2020-02-20 |