| NPI | 1649598160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 00055252) |
| 101YM0800X Counselor, Mental Health (Licence: CA 83904) | |
| 106H00000X Marriage & Family Therapist | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 83904) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2024-01-18 |