| NPI | 1063774305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 69449) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 69449) |
| 101YM0800X Counselor, Mental Health (Licence: CA 69449) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 98190) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 69449) | |
| 174H00000X Health Educator (Licence: CA 69449) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-01-03 |