| NPI | 1326451121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 847) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 847) |
| 101YM0800X Counselor, Mental Health (Licence: CA 847) | |
| 101YP2500X Counselor, Professional (Licence: CA 847) | |
| 101Y00000X Counselor (Licence: CA 847) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-04-09 |