NPI | 1386226157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139417) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 11809) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
106H00000X Marriage & Family Therapist (Licence: CA Pending) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2021-04-22 |
Last Update Date | 2023-05-04 |