Individual
NINA LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2516 AUTUMNVALE AVE, SAN JOSE, CA 95131-3443
(916) 505-8922
Mailing address
2516 AUTUMNVALE AVE, SAN JOSE, CA 95131-3443
(916) 505-8922
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
21032
CA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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