| NPI | 1215711601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143674) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-12-19 |