| NPI | 1467865170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy30646) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 4041) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2026-06-02 |