| NPI | 1427498468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RS6535) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2023-12-11 |