| NPI | 1497390066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 22473) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117454) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12826) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2026-05-20 |