| NPI | 1184090813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA IMF88088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126370) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2024-06-11 |