| NPI | 1063824498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC #85885) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF #70456) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF# 70456) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2015-05-29 |