| NPI | 1144745027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: CA 103145) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 120616) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2024-08-28 |