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 |