| NPI | 1609978931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22608) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37170) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8381801) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2009-08-16 |