| NPI | 1033395611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT109852) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 6429) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-05-23 |