| NPI | 1992273411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30391) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 30391) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 30391) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 30391) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |