NPI | 1679071971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123958) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108857) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2018-02-01 |
Last Update Date | 2024-09-06 |