| NPI | 1780749416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49712) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ C.A.D.A.C. 1591) |
| 101YM0800X Counselor, Mental Health (Licence: AZ L.P.C. 2093) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2011-04-01 |