| NPI | 1518509819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 19411) |
| 225400000X Rehabilitation Practitioner (Licence: CA 13477-R) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13477-R) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2025-10-21 |