NPI | 1497892178 |
---|---|
Former Name | DANA APRIL PRIEBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy26506) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-02-09 |