NPI | 1083189153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 148575) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 148575) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-09-09 |