| NPI | 1366464208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA psy16727) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA psy16727) |
| 103TC0700X Psychologist, Clinical (Licence: CA psy16727) | |
| 103T00000X Psychologist (Licence: CA psy16727) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA psy16727) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-07-08 |