| NPI | 1467888164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123915) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LCi12030518) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06577-PC) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 3308-R) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-01-24 |