| NPI | 1023551850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21942) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21942) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY21942) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-10-25 |