| NPI | 1710307400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133647) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA 133647) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-02-27 |