| NPI | 1083923296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105742) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: CA 87208) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 87208) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2022-07-21 |