| NPI | 1982925418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123559) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-K1307290910) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-11-19 |