NPI | 1164716627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA IMF89786) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2023-08-01 |