| NPI | 1720346257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26912) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 26912) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 26912) | |
| 103TH0004X Psychologist, Health (Licence: CA 26912) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 26912) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2015-02-18 |