| NPI | 1730372814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112663) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A015560315) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2024-12-24 |