| NPI | 1316333602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31428) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist (Licence: CA PSY31428) | |
| 103TE1100X Psychologist, Exercise & Sports | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-08-27 |