| NPI | 1114298361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99272) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2017-05-25 |