| NPI | 1982994497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94460) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 94-1747575) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 94460) | |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF94460) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2022-06-30 |