| 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 |