NPI | 1427429612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129935) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1433940621) | |
106H00000X Marriage & Family Therapist (Licence: CA 86303) | |
Enumeration Date | 2015-10-13 |
Last Update Date | 2022-03-09 |