| NPI | 1073810370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1006031525) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2019-05-01 |