| NPI | 1619107430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-L0905181449) |
| 106H00000X Marriage & Family Therapist (Licence: CA 85002) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-02-11 |