| NPI | 1447902358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129654) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Biii00150720) |
| 101YP2500X Counselor, Professional (Licence: CA 10855) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |