| NPI | 1912343930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 102920) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA A045901017) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13202) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13808719) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 202508) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 202508) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 102920) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2024-04-12 |