NPI | 1982315610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33864) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33864) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY33864) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY33864) | |
Enumeration Date | 2022-12-13 |
Last Update Date | 2022-12-13 |