| NPI | 1093967994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC43709) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC1292) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC1849) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2012-01-06 |