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 |