NPI | 1982932182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 23133) |
Additional Taxonomies | 103T00000X Psychologist |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TH0004X Psychologist, Health | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2009-11-27 |
Last Update Date | 2019-10-22 |