| NPI | 1780990069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 27391) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 27391) |
| 101Y00000X Counselor (Licence: CA 27391) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 27391) | |
| 101YM0800X Counselor Mental Health (Licence: CA 27391) | |
| 101YP1600X Counselor Pastoral (Licence: CA 27391) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 27391) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-04-06 |