NPI | 1932467354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28814) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical (Licence: CA PSY2012591) | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2023-09-30 |