NPI | 1770892952 |
---|---|
Former Name | NANCY LUCAS ROBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24405) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSB34897) |
103T00000X Psychologist (Licence: CA PSY24405) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY24405) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2023-02-04 |