| NPI | 1619569423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC7974) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR0150315) |
| 106H00000X Marriage & Family Therapist (Licence: CA LPCC7974) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |