| NPI | 1326664731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AMFT117080) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA AMFT117080) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-01-04 |