NPI | 1487883864 |
---|---|
Former Name | JAMIE LEWIS DUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26435) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY26435) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2022-06-29 |