NPI | 1467785162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20019) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY20019) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA psy20019) | |
Enumeration Date | 2009-09-12 |
Last Update Date | 2009-09-12 |