| NPI | 1972786697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT124794) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: CA APCC9410) | |
| 103T00000X Psychologist (Licence: CA AMFT124794) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-09-26 |