NPI | 1013375807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: CA 130294) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-02-08 |
Last Update Date | 2023-01-06 |