| NPI | 1336873850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35768) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 35768) |
| 103TC1900X Psychologist, Counseling (Licence: CA 35768) | |
| 103TH0004X Psychologist, Health (Licence: CA 35768) | |
| 103TH0100X Psychologist, Health Service (Licence: CA 35768) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 35768) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-03-31 |