| NPI | 1174140727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10070) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-12-04 |