| 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 |