| NPI | 1821665043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 149267) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149267) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-09-04 |