| NPI | 1245727049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 112727) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 112727) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-07-10 |