NPI | 1649681990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C18491214) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72446) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2019-03-28 |