| NPI | 1073733739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF80666) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-12-30 |