| NPI | 1144751025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139831) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2026-01-19 |