| NPI | 1295342384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119824) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 119824) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-10-12 |