| NPI | 1285969899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY14837) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY14837) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY14837) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |