| NPI | 1255634911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91206) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69475) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2021-02-19 |