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 |