| NPI | 1790922169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA 84483) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2021045357) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2022-02-18 |