NPI | 1932573771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34668) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A022150616) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2023-11-21 |