NPI | 1811570682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149414) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1427520421) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-04-30 |
Last Update Date | 2024-09-09 |