| NPI | 1750623666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 94588) |
| 106H00000X Marriage & Family Therapist (Licence: CA 71564) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-03-27 |