| NPI | 1306039292 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA MFC50791)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51736)  | 
| 106H00000X Marriage & Family Therapist (Licence: CA 50791)  | |
| Enumeration Date | 2007-08-23 | 
| Last Update Date | 2022-01-03 |