| NPI | 1609500057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AFMT144605) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 14825) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-02-16 |