| NPI | 1346321742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA Psy21142) |
| 103TC0700X Psychologist, Clinical (Licence: CA Psy21142) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy21142) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA Psy21142) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |