| NPI | 1558909267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT112092) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 206722) |
| 225400000X Rehabilitation Practitioner (Licence: CA amft112092) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2023-04-28 |