| NPI | 1841339983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFCC44707) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA S0508310848) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF44470) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-12-04 |