| NPI | 1467857920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AO42180916) |
| 106H00000X Marriage & Family Therapist (Licence: CA 105774) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2021-11-15 |