| NPI | 1275970147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT146499) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120894) | 
| 171M00000X Case Manager/Care Coordinator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1243330217) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-31 | 
| Last Update Date | 2024-04-25 |