| NPI | 1083223317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA 94028360) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-08-01 |