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 |