| NPI | 1790802304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001724A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47864) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001237A) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-11-15 |