| NPI | 1942082961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1546140124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102308) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-06-24 |