| NPI | 1093120818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78075) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 78075) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-10-15 |