| NPI | 1649581216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07069-LCS) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48187) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-04-25 |