| NPI | 1528799038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142290) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14872) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-01-02 |