| NPI | 1346719556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111075) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-07-31 |