| NPI | 1407456155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132916) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1406531020) | |
| 101YP2500X Counselor, Professional (Licence: CA 11765) | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-07-06 |