| NPI | 1700375599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA Psy29700) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy29700) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-12-30 |