| NPI | 1215993589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF79210) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CATCV0414201935) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-02-20 |