| NPI | 1255689899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95973) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-08-21 |