| NPI | 1093025546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80015) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR02601116) |
| 101YM0800X Counselor, Mental Health (Licence: CA 80015) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2021-12-29 |