| NPI | 1134982770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34834) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY34834) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 176124V) | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |