| 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 |