NPI | 1225095532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 76288) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RAS W0507071356) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2016-11-30 |