| NPI | 1720212830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 11094) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2021-03-17 |