| NPI | 1093842197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 65132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CADC II A8378702) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-01-02 |