| NPI | 1285751198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT#41928) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFT# 41928) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFT# 41928) | |
| 101YP2500X Counselor, Professional (Licence: CA MFC41928) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2009-02-11 |