| NPI | 1215093653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT130779) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8159) |
| 101YM0800X Counselor, Mental Health (Licence: CA 325637) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-02-07 |