| NPI | 1750972253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT147419) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1414691220) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-08-05 |