| NPI | 1316287691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45285) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 2597-R) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 45285) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA832599) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2020-07-17 |