| NPI | 1669514253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 14753) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A78277) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 242578-1) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-02-09 |