| NPI | 1306152822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30750) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2024-10-03 |