| NPI | 1174831614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87593) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: TX 203838) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002002) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2023-03-23 |