NPI | 1114234531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129640) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104216) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2010-09-07 |
Last Update Date | 2021-12-10 |