| NPI | 1588726665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15572) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY15572) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA PSY15572) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-07-10 |