NPI | 1083366249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT151724) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: CA APCC13299) | |
Enumeration Date | 2022-01-19 |
Last Update Date | 2024-12-05 |