| NPI | 1568631497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2017030439) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: IBNFC) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-C1402072016) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2022-07-21 |