NPI | 1952733867 |
---|---|
Former Name | ROCHELLE BROOKE SHABANIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29355) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2023-11-08 |