| NPI | 1316611601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133911) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-01-08 |