NPI | 1174005334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141211) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117040) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2023-09-25 |