NPI | 1205355278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-M1406212130) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2017-09-11 |
Last Update Date | 2024-11-19 |