| NPI | 1801038369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113617) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA IM95663) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 1497883268) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2019-06-26 |