NPI | 1689050809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33503) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 33503) |
103TF0000X Psychologist, Family (Licence: CA 33503) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 33503) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-09-02 |