| NPI | 1598807554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 146) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 32925) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 15203) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1517-10) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-07-03 |