| NPI | 1336606821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT159177) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 247200000X Technician, Other | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-11-21 |