| NPI | 1699184457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA IMF80587) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2017-07-24 |