| NPI | 1558662445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10295) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23911) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY23911) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY23911) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 10295) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY23911) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY23911) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2023-02-10 |