NPI | 1750757274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32801) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA PSB94024800) | |
Enumeration Date | 2015-08-19 |
Last Update Date | 2024-07-16 |