| NPI | 1073221503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136441) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-12-16 |