NPI | 1851757322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112967) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CATC-i #7154-i) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2024-10-28 |