| NPI | 1215310636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125656) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303674) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA9480519) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 3639) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-05-11 |