NPI | 1942382973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy17364) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 17364) |
103TF0000X Psychologist, Family (Licence: CA Psy 17364) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA Psy 17364) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 17364) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2023-10-24 |