| NPI | 1497072888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22240) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY22240) |
| 103T00000X Psychologist (Licence: CA PSY22240) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY22240) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-11-30 |