| 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 |