| NPI | 1902439656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 10412) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 10412) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-10-05 |