| NPI | 1114685633 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151576)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 225400000X Rehabilitation Practitioner (Licence: CA 151576)  | |
| Enumeration Date | 2021-12-01 | 
| Last Update Date | 2025-05-21 |