| NPI | 1750644845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052470724) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101090) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6372) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-09-10 |