| 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 |