| NPI | 1528438199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105891) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 87362) |
| 101YM0800X Counselor, Mental Health (Licence: CA 87362) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 87362) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2018-05-08 |