| NPI | 1013330620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98990) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR05740121) |
| 103K00000X Behavior Analyst (Licence: CA 1-14-10236) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2025-01-07 |