NPI | 1508909276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT41873) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 41873) | |
106H00000X Marriage & Family Therapist (Licence: CA MFT41873) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2022-07-21 |