NPI | 1629602826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci5630316) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-02-26 |
Last Update Date | 2024-09-17 |