| NPI | 1124351267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28433) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 28433) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 28433) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2023-03-14 |