| NPI | 1750739330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125136) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA d3934204) |
| 101YP2500X Counselor, Professional (Licence: CA 19868) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 19868) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2026-01-05 |