| NPI | 1164916029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119767) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-05-07 |