| NPI | 1275981284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92170) |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist (Licence: CA 92170) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2017-04-11 |