| NPI | 1255563615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140734) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA1401022) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2024-03-05 |