| NPI | 1568538825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46358) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA855007) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA lr300411) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-10-29 |