| NPI | 1316561541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156968) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2026-05-06 |