| NPI | 1255926531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AMFT121064) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA APCC8298) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT121064) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-09 |