| NPI | 1225574635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A011120315) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF73056) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |