| NPI | 1609307008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT151949) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15995) |
| 101YM0800X Counselor, Mental Health (Licence: CA LPCC19203) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-10-04 |