| NPI | 1235453796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2020002712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48032) |
| 106H00000X Marriage & Family Therapist (Licence: KS 2954) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 00817) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2024-04-18 |