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 |