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 |