| NPI | 1417464967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110222) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75648) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300049AP) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-08-13 |