NPI | 1467656769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-G0609211044) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51191) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2018-03-17 |