| NPI | 1063242402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 34181) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 34181) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 34181) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 34181) | |
| 103TH0004X Psychologist, Health (Licence: CA 34181) | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |