NPI | 1689013401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31235) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY31235) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2013-06-15 |
Last Update Date | 2020-04-21 |