| NPI | 1841323730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC9250) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFC9250) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFC9250) | |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC9250) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-19 |