| NPI | 1851757322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112967) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CATC-I #7154-I) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT INTERN. #90016) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-08-05 |