NPI | 1851554356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY23590) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY23590) |
103TR0400X Psychologist Rehabilitation (Licence: CA PSY23590) | |
101YM0800X Counselor Mental Health | |
103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY23590) | |
103TC0700X Psychologist Clinical (Licence: CA PSY23590) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2023-07-10 |