| NPI | 1831320779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF63874) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA IMF63874) |
| 106H00000X Marriage & Family Therapist (Licence: CA 80905) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-07-30 |