NPI | 1235589979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150241) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
172V00000X Community Health Worker | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2024-10-04 |