NPI | 1043629223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF83734) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 83734) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-08-12 |
Last Update Date | 2025-09-11 |