| 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 |