| NPI | 1598042012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT147189) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: CA AMFT107053) | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT107053) | |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2024-06-14 |