| NPI | 1245741602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132435) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13023) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA1420422) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 79973) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-08-25 |