| NPI | 1134624521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105045) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA LR02551116) |
| 101YM0800X Counselor Mental Health (Licence: CA 105045) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-08-08 |