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 | 2024-12-12 |