| NPI | 1720191851 |
|---|---|
| Former Name | BEVERLY J COMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22258) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6406) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY 3159) | |
| 101YP2500X Counselor, Professional (Licence: CO 4387) | |
| 103T00000X Psychologist (Licence: NV PY0960) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-02-26 |