| NPI | 1689270241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT158563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC20786) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-10-15 |