NPI | 1245611888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111641) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106H00000X Marriage & Family Therapist (Licence: CA MFT95438) | |
Enumeration Date | 2015-06-09 |
Last Update Date | 2025-10-15 |