NPI | 1306802509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY31632) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2022-03-16 |