| NPI | 1477929826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA PSB94024479) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSB94021620) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-01-29 |