| NPI | 1093499337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151775) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-12-18 |