NPI | 1487010294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128475) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF89532) |
106H00000X Marriage & Family Therapist (Licence: CA IMF89532) | |
Enumeration Date | 2016-01-08 |
Last Update Date | 2021-11-18 |