| NPI | 1134752397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1431470521) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-10-20 |