| NPI | 1902223514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1380-124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 92843) |
| 101YM0800X Counselor, Mental Health (Licence: WI 1380-124) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-06-16 |