| NPI | 1245364389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50737) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Q412271234) |
| 225400000X Rehabilitation Practitioner (Licence: CA IMF45109) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-03-21 |