| NPI | 1346579554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107636) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 62066) |
| 106H00000X Marriage & Family Therapist (Licence: CA 107636) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2018-11-28 |