| NPI | 1558765511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82004) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 03048720) |
| 101YM0800X Counselor, Mental Health (Licence: CA 82004) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-21 |