NPI | 1215346655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130384) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 90297) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-08-11 |
Last Update Date | 2023-08-16 |