| NPI | 1063053684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 37712) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA APCC7330) |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2022-01-05 |