| NPI | 1700450863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AMFT294733) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 188910) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-06-24 |