| NPI | 1932452356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 132089) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-07-30 |