| NPI | 1073023875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107701) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107701) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-05-07 |