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 |