| NPI | 1174907406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RT1443620526) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2026-05-12 |