| NPI | 1437276961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38901) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT MAC # 507370) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-06-22 |