| NPI | 1982037446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY29717) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY29717) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY29717) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY29717) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY29717) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2019-08-02 |