| NPI | 1205209947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103643) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF87547) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF87547) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-05-10 |