| NPI | 1265600597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 25043) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2024-09-14 |