| NPI | 1134096951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94029216) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 94029216) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: 94029216) | |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |