| NPI | 1669771739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132978) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 109031) |
| 1041C0700X Social Worker, Clinical (Licence: CA 132978) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 206099) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2024-07-16 |