| NPI | 1538538368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83628) |
| 174H00000X Health Educator (Licence: CA MFTI 83626) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-12-13 |