| NPI | 1811047780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY14649) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY14649) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY14649) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY14649) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-03-03 |