| NPI | 1083856199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103989) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2019-02-05 |