| NPI | 1407440639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 159178) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225400000X Rehabilitation Practitioner | |
| 101YP2500X Counselor, Professional (Licence: CA 21066) | |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2025-11-26 |