| NPI | 1922514959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT106641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst (Licence: CA RBT-17-40858) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-05-25 |