| NPI | 1639429996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY16456) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY16456) |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY16456) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |