NPI | 1134752397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106S00000X Behavior Technician |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1431470521) | |
Enumeration Date | 2020-02-17 |
Last Update Date | 2022-10-20 |