| NPI | 1710498555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5914-i) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-07-10 |