| NPI | 1376800086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8808) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF73529) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF73529) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-12-12 |