| NPI | 1154463388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78850) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-01-07 |