| NPI | 1023413390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121649) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA D2063516) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA D2063516) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-10-16 |