| NPI | 1215472675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 157616) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA B0001050720) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-09-05 |