| NPI | 1801931050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-10-12 |