| NPI | 1831378074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0096621) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CSAC II 169) |
| 101YM0800X Counselor, Mental Health (Licence: NM LPCC 96621) | |
| 101YP2500X Counselor, Professional (Licence: NM LPCC 96621) | |
| 102L00000X Psychoanalyst (Licence: NM LPCC 96621) | |
| 102L00000X Psychoanalyst (Licence: CA LMFT 43969) | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT 43969) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2009-07-23 |