| NPI | 1396996344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 69330) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2018-04-06 |