| NPI | 1356116404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151185) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 171M00000X) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-11-11 |