| NPI | 1366995078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 32730) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 5083) |
| 103TR0400X Psychologist, Rehabilitation (Licence: CT 5083) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA 32730) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 32730) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 32730) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2026-05-20 |