| NPI | 1124478557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144421) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 104276) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-04-08 |