| NPI | 1881912301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30738) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 30738) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 30738) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 30738) | |
| 103TC0700X Psychologist, Clinical (Licence: CO psy.0005510) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 30738) | |
| 103TH0004X Psychologist, Health (Licence: CA 30738) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-05-06 |