| NPI | 1841608569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT25087) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-08-08 |