NPI | 1982037446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29717) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY29717) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY29717) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY29717) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY29717) | |
Enumeration Date | 2013-08-19 |
Last Update Date | 2019-08-02 |