NPI | 1275909178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33338) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-13 |
Last Update Date | 2022-09-29 |