| 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 |