NPI | 1801243829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22314) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 11046A) |
106H00000X Marriage & Family Therapist (Licence: NC 2030) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2020-10-14 |