NPI | 1437531274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91307) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF68438) |
Enumeration Date | 2015-06-28 |
Last Update Date | 2024-09-16 |