| NPI | 1477910313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9939) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 116143) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 05591020) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2026-04-06 |