NPI | 1902812811 |
---|---|
Former Name | YVONNE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18321) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy 18321) |
101YM0800X Counselor, Mental Health (Licence: CA PSY18321) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY18321) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY18321) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA psy18321) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY18321) | |
202C00000X Independent Medical Examiner (Licence: CA 117622) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2017-05-08 |