| NPI | 1255523353 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105581) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A4000907) | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-08-13 | 
| Last Update Date | 2023-05-05 |