NPI | 1033671391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138514) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 138514) |
172V00000X Community Health Worker | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-11-18 |