NPI | 1740309525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA RPS2005098) |
Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA 22620) |
103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 22620) | |
103TC0700X Psychologist Clinical (Licence: CA 22620) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 22620) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2018-06-27 |