| NPI | 1972528388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY15385) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY15385) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY15385) | |
| 103TC0700X Psychologist Clinical (Licence: CA PSY15385) | |
| 103T00000X Psychologist (Licence: CA PSY15385) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY15385) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |