| NPI | 1093237919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135167) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1236780816) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-10-24 |