| NPI | 1578655544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 23965) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-03-29 |