NPI | 1356602510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA MFC36524) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 36524) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2013-10-11 |