NPI | 1164546784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA 107706) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2024-07-09 |