| NPI | 1285122549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106842) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 106842) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-01-20 |