NPI | 1821425646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 8650) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 8650) |
103TC0700X Psychologist, Clinical (Licence: CA 8650) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 8650) | |
Enumeration Date | 2013-10-11 |
Last Update Date | 2013-10-11 |