NPI | 1033133715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY20728) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20728) |
103TC1900X Psychologist, Counseling (Licence: CA PSY20728) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |