NPI | 1265072177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138485) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT138485) |
225400000X Rehabilitation Practitioner | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-01-08 |
Last Update Date | 2023-07-13 |