| NPI | 1780977231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 94020375) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2023-09-15 |