| NPI | 1154485506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C608111303) |
| 103T00000X Psychologist (Licence: CA 94020865) | |
| 103T00000X Psychologist (Licence: CA RPS 2012698) | |
| 101Y00000X Counselor (Licence: CA RPS 2012698) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-08-02 |