| NPI | 1487078317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80620) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 80620) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 80620) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 80620) | |
| 102L00000X Psychoanalyst (Licence: CA 80620) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2023-07-27 |