| NPI | 1629445416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130482) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-007865-2015) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 2984) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-03-05 |