NPI | 1477285526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT142432) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2022-06-28 |
Last Update Date | 2023-10-30 |